Hospital Indemnity Plans

The Hospital Indemnity Plan is NOT a comprehensive major medical plan. These plans include benefits for hospital confinement and specified medical and surgical events. Such plan pays you the specified cash amount for each covered service, regardless of what the provider charges you. Cash benefits are paid directly to you and may be used for any purpose. Normally, there is no deductible with the Hospital Indemnity Plan.

Hospital Indemnity Plan Benefits

Daily hospital benefits

Hospital admission benefits

Surgical benefits- inpatient and outpatient

Emergency room and Urgent care benefits

Benefits for room and board are on a per-day dollar amount basis; benefits of surgery use the surgical schedule and include the maximum benefit allowed. Most plans have limits on the maximum benefits per calendar year, and maximum lifetime benefit.

Preexisting Conditions

Many policies include limitations on preexisting medical conditions. For example, benefits are not paid until you have a policy for 12 months. Some policies include an elimination period, i.e. benefits are paid ONLY after you have been hospitalized for a number of days

Optional Riders

Optional riders are often available; for example, Outpatient Rider that includes doctor’s visits, and Prescription Drug Rider

Recovery Care Supplemental Insurance Plans

Recovery Care Insurance plans provide short-term care recovery (less than a year) after an accident or illness. Recovery Care includes facilities such as a nursing home or assisted living facilities, as well as medically necessary home care. A Registered Nurse service is also covered.

Plans are very affordable; many have monthly premiums for under $100.

Eligibility

Plans are eligible for ages well above of 65 – normally up to 79-89.

What will you select?

The benefit period – the number of days spent in recovery care (nursing facility, assisted living facility, or home health care) covered by your policy. The typical benefit periods are 120, 240 or 360 days.

The daily benefit for a nursing facility (typically $100-$300), or weekly benefits for a home care (typically $150-$750).

The waiting period is typically from 0 to 100 days. It is the time you are required to wait before being eligible for benefits.

Preexisting Conditions

There are limitations on preexisting conditions. They are covered only after the policy has been in force for 180 days.

May Recovery Care plan be used with other coverage?

Recovery care may be used with any other coverage, including Medicare. This may make a lot of sense depending on your needs.

For example,

Medicare Part A covers the first 20 days of recovery and only covers skilled care. Moreover, it requires a 3-day hospital stay before you may use it.

Long Term Care plans are normally quite expensive. You may make the Long Term Care plan more affordable by taking a longer elimination period, and use Recovery Care coverage during this time.

Critical Illness Supplemental Insurance Plans

Critical Illness insurance plans provide benefits for one or several conditions, which are covered under the insurance policy. Typical conditions include cancer-related conditions, heart-related conditions, organ transplant, etc. The policy may cover either a single kind of condition (like cancer), or multiple conditions.

A typical premium is $25 for a healthy, non-smoker, middle-aged man. It goes up with age and depends on your policy’s benefits. The policy is guaranteed, i.e. you’ll have the insurance as long as your premium is paid.

Eligibility

Most insurers will not sell you a policy if you are over the age of 65, but there are exceptions.

Critical Illness Plan Benefits

The benefits are typically paid as a lump sum and can be spent any way you would like. The typical cash payment ranges from $10,000 to $30,000. Some policies include additional inflation protection every year.

Preexisting Conditions

Medical Underwriting is a requirement. You will not be eligible for coverage if you have been diagnosed with a critical illness within the last several years (for example, within the last 10 years). Additional tests will be required if you have not been diagnosed but are experiencing unusual symptoms, or if you have a history of critical illness in the family.

Carefully read the policy’s exclusions and limitations. For example, any critical illnesses diagnosed within the policy’s waiting period (also known as ‘elimination period’) will not be covered.

May Critical Illness plan be used with other coverage?

You may have a Critical Illness Insurance policy in addition to any other policy. You’ll receive the full benefits, and there is no coordination of benefits between the Critical Illness policy and your other insurance policies.

Should I be interested in Critical Illness?

Critical Illness policy may be of interest to you if:

Your health insurance does not cover a critical illness to a reasonable extent, or if you do not have enough savings to cover it yourself.

You have a family history of a particular type of critical illness, and feel that you need extra protection.

As an independent insurance agency, we will provide you the benefits of objectivity in reviewing multiple plans. We’ll help you to understand the insurance industry jargon and ‘fine print’.

If you are considering buying one of the Individual Supplement Plans (Hospital Indemnity, Recovery Care or Critical Illness), let us guide you. All of our services are offered at no cost to you. To see real quotes from insurance providers, fill out our Individual Health Quote form or give us a call at 877-657-7477.

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